Organization
KYLE M. CROFOOT, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE M. CROFOOT M.D. (OWNER)
(407) 894-4330
Entity
Organization
Contact information
Practice address
1400 HILLCREST ST, ORLANDO, FL 32803-4709
(407) 894-4330
(407) 894-4340
Mailing address
1400 HILLCREST ST, ORLANDO, FL 32803-4709
(407) 894-4330
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME43757
FL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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